Early diagnosis programme
'I was diagnosed early' is one of Macmillan's nine outcomes. Our outcomes are things that we'd like everyone diagnosed with cancer to be able to say by 2030.
The early diagnosis programme includes a number of new projects to help promote awareness of the benefits of earlier recognition, referral and diagnosis of cancer. We're also developing tools to help GPs and primary care professionals.
Cancer decision support tools
Throughout 2013 we worked collaboratively with BMJ Informatica to develop and pilot an electronic cancer decision support (CDS) tool. Part funded by the Department of Health, the project aimed to help support GPs in their clinical decision making when referring for suspected cancer.
We tested the CDS tool with over 550 GP Practices across the UK to ascertain whether it was something that would be useful and easy to incorporate into a standard 10 minute GP consultation. The aim of the pilot was to raise awareness of cancer risk among GPs and to get them to “think cancer” whilst helping support them to make decisions in ‘low risk but not no risk’ consultation cases.
Following the success of the pilot last year, we are in the process of working with all of the main GP software providers to further develop integrated versions of the CDS tool. We anticipate this development work to be complete by the end of the year and will update on timescales for this development as and when we know more.
In the meantime to register interest in getting the tool installed; to sign up for training sessions or for more information on the eCDS project in general, please email us at firstname.lastname@example.org
CRUK have now published their executive summary of the evaluation for the 2013 pilot. You can download the executive summary here.
Cancer decision support tools - training resources
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To help support you in this project we have developed a series of training resources and videos.
Professor Willie Hamilton talks about the Risk Assessment Tool (RAT.)
Background research papers
Prof. Willie Hamilton:
Professor Julia Hippisley Cox answers some FAQs about QCancer.
Prof. Julia Hippisley Cox:
Thanks to Media Trust for their help with making these videos.
We are well aware that different people work in different ways. Over the course of a year the average GP will only see around eight people with a cancer diagnosis, despite seeing many more who have symptoms which might be cancer. This project looks at the different referral styles of GPs and identifies and matches up targeted tools and interventions that best suit their style of referring.
This project is an exciting opportunity for GP practices to work with Macmillan on a project which could have a big positive impact on cancer diagnosis and referral across the UK. We are currently working with GPs in Bedfordshire and Luton to develop our framework.
For more information, please contact Steph Peart at email@example.com.
GP Rapid Referral Guidelines
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The Rapid Referral Toolkit [PDF] contains the NICE referral guidelines for suspected cancer. It aims to provide support, guidance and practical solutions to those involved in the improvement of cancer care.
You can use the tool to assist you in identifying symptoms of cancer, it also provides you with immediate access to NICE referral guidance. The desktop tool has the option for users to add contact information for local services so that you can signpost patients to local services where appropriate.
The tool is available to download to sit right on your PC desktop making it easily accessible whenever you need it. You can also download mobile and tablet versions (see links above) so that you access the tool while away from the surgery/Practice.
Significant Event Audit (SEA)
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The Royal College of General Practitioners (RCGP) is piloting a project to offer GPs peer review of completed cancer SEAs with certification for their appraisal or revalidation portfolios. Initially GPs in 13 cancer networks are invited to take part. The National Cancer Action Team and Macmillan are supporting this work.
Find out more about the project.
If you have any questions about the early diagnosis programme please contact Stephanie Peart by emailing firstname.lastname@example.org